Mississippi State Department of Health

Food and Drug Administration Report of Assembly of a Diagnostic X-Ray System
Form 2579


Please use the online form below to complete FDA Form 2579 for reporting assembly of a diagnostic X-ray system.

Completed Form

If you have a completed FDA Form 2579, please e-mail to xrayregistration@msdh.ms.gov or mail to:

MSDH Division of Radiological Health
310 Airport Road
Pearl, MS 39208

Links referenced on this page
Start Form 2579    https://powerforms.docusign.net/b6c82b16-2137-4e68-a21a-c8345268f055?env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&accountId=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef
xrayregistration@msdh.ms.gov    mailto:xrayregistration@msdh.ms.gov

Find this page at https://msdh.ms.gov/page/30,28512,102,1058.html

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